Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Gynecological Surgery
  •  Ophthalmic Surgery
  •  Pediatric Surgery
  •  Orthopaedic Surgery
  •  Thoracic Surgery
  •  Transplant Surgery
  •  Minimally Invasive Surgery
  •  Neurological Surgery


Citation: Clin Surg. 2018;3(1):2169.Case Report | Open Access

Submucosal Tunneling Endoscopic Septum Division for Congenital Pseudo-Pylorus: A New Technology in a Rare Disease (With Video)

Xinyang Liu, Ying Fang, Hong-Bin Yang, Xiao-Xia Ren, Ya-Nan Han, Quan-Lin Li and Ping- Hong Zhou

Department of Endoscopy, Fudan University, China
Department of Gastroenterology, The Children’s Hospital of Xi’an City, China

*Correspondance to: Ping-Hong Zhou 

 PDF  Full Text DOI: 10.25107/2474-1647.2169


Background: Pseudo-pylorus is a congenital or an acquired septum (secondary to ulcer scaring) in the antral area that might simulate the pylorus. It could easily cause obstruction thus requires intervention. We report the use of Submucosal Tunneling Endoscopic Septum Division (STESD) on a pediatric case of congenital pseudo-pylorus.Methods: This video illustrates the STESD procedure in an 8-year-old Chinese boy. With a congenital pseudo-pyloric stricture that occurred proximal to the original pylorus, he was suffering from recurrent vomiting, epigastric pain and growth retardation. A gastroscopy demonstrated pseudo-pyloric stricture with severe reflux esophagitis. STESD was performed according to the standard protocol (step 1: mucosal incision; step 2: submucosal tunneling; step 3: septum division; step 4: mucosal closure.) with appropriate preoperative and postoperative care.Results: The operation time was 35minutes.Intraoperative pneumoperitoneum was relieved by paracentesis. The pseudo pylorus disappeared and symptoms were completely relieved after the procedure. The patient was discharged uneventfully at postoperative day 10. In four-month followup, we observed complete symptom resolution, significant improvement of nutritional status and no complications.Conclusion: We suggest STESD as a safe and efficient technology in treating congenital pseudopylorus. Validation in other benign strictures of the gastrointestinal tract is warranted.


STESD; Pseudo-pylorus; Congenital; Endoscopic treatment

Cite the article

Liu X, Fang Y, Yang H-B, Ren X-X, Han Y-N, Li Q-L, et al. Submucosal Tunneling Endoscopic Septum Division for Congenital Pseudo-Pylorus: A New Technology in a Rare Disease (With Video). Clin Surg. 2018; 3: 2169.

Search Our Journal

Journal Indexed In

Articles in PubMed

Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
RAF Kinase Inhibitory Protein Expression and Phosphorylation Profiles in Oral Cancers
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Acute Appendicitis in Patients with Leukemia: A Dilemma in Diagnosis and Surgical Treatment
 Abstract  PDF  Full Text
Clinical Effects of Using the Enhanced Recovery after Surgery (ERAS) Approach on Postoperative Bariatric Surgery Status: A Review Study
 Abstract  PDF  Full Text
View More...